Provider Demographics
NPI:1225804990
Name:HEALING HOLISTIC HUB PLLC
Entity Type:Organization
Organization Name:HEALING HOLISTIC HUB PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:IKENNA
Authorized Official - Middle Name:EREM
Authorized Official - Last Name:OBASI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:715-321-2882
Mailing Address - Street 1:300 N MAIN ST STE 300
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27260-5056
Mailing Address - Country:US
Mailing Address - Phone:715-321-2882
Mailing Address - Fax:
Practice Address - Street 1:300 N MAIN ST STE 300
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27260-5056
Practice Address - Country:US
Practice Address - Phone:715-321-2882
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty